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EYE SURGERY CENTER-NORTHLAND LLC
NPI 1033162631
Clinic/Center - Ambulatory Surgical in Kansas City, MO

Active since May 18, 2006CLIA 26D1059108 · Waiver
9401 N OAK TRFY, SUITE 124, KANSAS CITY, MO 64155(816) 478-1230(816) 350-4585 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2024, Feb 16, 2022, Feb 8, 2022 (3 updates tracked since 2022).

About Eye Surgery Center-northland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE SURGERY CENTER-NORTHLAND LLC (NPI 1033162631) is a healthcare organization registered as an ambulatory surgical in Kansas City, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists Melinda Hamilton, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1033162631
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEYE SURGERY CENTER-NORTHLAND LLC
Location Address9401 N OAK TRFY, SUITE 124Kansas City, MO 64155-2233
Mailing Address4801cliff Ave, Suite 100Independence, MO 64055 · (816) 478-1230 · Fax (816) 350-4585
Phone(816) 478-1230
Fax(816) 350-4585
Organization SubpartYesParent: Eye Care, Llc
Authorized OfficialMelinda HamiltonExecutive Assistant · (816) 350-4536
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1033162631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MO · 191
9401 N OAK TRFY, Kansas City, MO 64155
Open in Google Maps ↗

Other Identifiers 1

OtherP00368401MO · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Surgery Center-northland Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eye Surgery Center-Northland LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

James Flood, CRNA,MA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255311759
2800 CLAY EDWARDS DR
North Kansas City, MO 64116
(816) 221-5050
✔ PECOS✔ Accepts Medicare8.1 mi
Carmeta Shaw, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205932308
EPIC EYE SURGERY CENTER, LLC 11261 NALL AVENUE #200
Leawood, KS 66211
(913) 671-3290
22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1059108

Eye Surgery Center-Northland LLC · Kansas City, MO
Active · expires Sep 21, 2028
CLIA Number26D1059108
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorRandy L. Jackson
Laboratory Phone(816) 350-6860
Laboratory LocationEye Surgery Center-Northland LLC9401 N Oak Trafficway, Ste 124, Kansas City, MO 64155
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
252 services150 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
80 services75 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Surgery Center-Northland LLC's NPI number?

The NPI number for Eye Surgery Center-Northland LLC is 1033162631. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Eye Surgery Center-Northland LLC located?

Eye Surgery Center-Northland LLC is located at 9401 N Oak Trfy Suite 124, Kansas City, MO 64155. The listed phone number is (816) 478-1230.

What is Eye Surgery Center-Northland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Eye Surgery Center-Northland LLC enrolled in Medicare?

Yes. Eye Surgery Center-Northland LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Surgery Center-Northland LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Eye Surgery Center-Northland LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eye Surgery Center-Northland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1059108) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Surgery Center-Northland LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Eye Surgery Center-Northland LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eye Surgery Center-Northland LLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.